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Whole-body 18F-FDG PET/CT scan in a patient with Cervical Cancer taken from the PETWB-REP dataset. The following English report (translated from original Chinese) is taken verbatim from the public dataset and has not been modified or otherwise checked for accuracy (see the end for citation).

Findings

After fasting and intravenous injection of 18F-FDG, a whole-body PET/CT scan was performed.
The whole-body scan showed: The brain morphology and structure were normal; no abnormal density shadows were seen in the brain parenchyma, and FDG uptake was normal.
No widening of the ventricles, sulci, fissures, or cisterns was observed; the ventricles were symmetrical, and there was no midline shift.
Both eyeballs were symmetrical, with no obvious abnormalities.
Thickening of the left maxillary sinus mucosa was observed, but no thickening was seen in the mucosa of the other paranasal sinuses, and the sinus walls were intact.
No thickening of the nasopharyngeal wall was observed, and FDG uptake was normal.
The pharyngeal recesses were symmetrical, the Eustachian tube openings were not narrowed, the infratemporal and pterygopalatine fossae were structurally normal, and the bilateral parapharyngeal spaces were clear with no abnormal FDG uptake.
Both palatine tonsils showed physiological uptake.
No abnormal density shadows were seen in the bilateral parotid and submandibular glands.
The laryngopharynx morphology and structure were normal.
Thyroid gland is normal in shape and size, with slightly uneven density; FDG uptake is normal.
Bilateral deep cervical space and submandibular lymph nodes are visible; the largest has a short diameter of approximately 0.8 cm, with increased FDG uptake (SUVmax = 3.0).
Lung markings are clear.
A ground-glass opacity is present in the medial segment of the right middle lobe, the largest having a long diameter of approximately 0.9 cm, with a maximum CT value of -548 HU; FDG uptake is normal.
A small solid nodule, approximately 0.2 cm in diameter, is present in the posterior segment of the right upper lobe; FDG uptake is normal.
A few linear lesions are present in both lungs; FDG uptake is normal.
No pleural thickening is observed bilaterally; there is no pleural effusion or pneumothorax bilaterally.
Left hilar lymph nodes are visible; the largest has a short diameter of approximately 0.7 cm, with increased FDG uptake (SUVmax = 4.9).
The cardiac silhouette is normal; cardiac chamber density is lower than myocardial density.
Some arteries show slight sclerosis.
No abnormal density shadows were seen in either breast, and FDG metabolism was normal.
No esophageal dilation was seen, and no significant thickening or mass was observed in the esophageal wall; FDG uptake was not increased.
The liver's shape and size were normal, the liver margins were smooth, the hepatic fissure was not widened, and no significant abnormal density shadows were seen in the liver parenchyma on plain CT scan; FDG uptake was normal.
The main portal vein was not significantly widened, and no dilation was seen in the intrahepatic or extrahepatic bile ducts.
The gallbladder's shape and size were normal, the gallbladder wall was not thickened, and local FDG uptake was normal.
The pancreas was normal in shape, with no significant abnormal density shadows seen in the parenchyma; the main pancreatic duct was not widened, and FDG uptake was normal.
The spleen's shape, size, density, and FDG uptake were normal.
Both kidneys are normal in shape and size.
A small cystic lesion, approximately 0.8 cm in diameter, is present in the left renal parenchyma.
FDG metabolism is normal.
No widening of the renal pelvis, calyces, or ureter is observed, and FDG uptake is normal.
Bilateral adrenal gland imaging shows no significant abnormalities.
Gastric distension is inadequate, with slight thickening of the antral wall and increased FDG uptake (SUVmax = 3.8).
Intestinal distension is unsatisfactory, but intestinal uptake is physiological.
The cervix is full, with a visible soft tissue density lesion of approximately 4.3*2.7*3.9cm, its borders indistinct, and its internal density uneven.
This lesion involves the lower segment of the uterine body and the upper segment of the vagina, showing increased FDG uptake (SUVmax=21.7).
The uterine margins are not smooth, and a soft tissue density bulge is visible on the posterior wall.
Patchy low-density shadows are seen in the uterine cavity.
Bilateral iliac lymph nodes are visible, the largest with a short diameter of approximately 0.6cm, showing increased FDG uptake (SUVmax=7.8).
No obvious abnormalities were observed in the bilateral adnexa.
The bladder is poorly filled, and no obvious positive stones were seen.
Localized bone destruction with increased FDG uptake is present in the right 6th anterior rib (SUVmax=12.6); patchy increased FDG uptake is also observed on the left side of the L3 vertebral body (SUVmax=6.5).
The spinal alignment is normal, with some vertebral body margin osteophytes and L5/S1 intervertebral disc bulge.
The T3 vertebral body shows a fence-like appearance in some areas.

Impression

  1. a. Cervical mass with elevated FDG metabolism, consistent with cervical cancer; bilateral iliac lymph node metastasis. Uterine cavity effusion, uterine fibroids. b. Hypermetabolic lesions in the right 6th anterior rib and L3 vertebral body, metastasis to be ruled out; please confirm with MRI.

  2. a. Ground-glass opacity in the medial segment of the right middle lobe, FDG metabolism normal, suggest inflammation or atypical adenomatous hyperplasia; CT follow-up recommended. b. Chronic inflammatory micronodule (solid) in the right upper lobe; CT follow-up recommended. A few post-inflammatory lesions in both lungs. Reactive hyperplasia of the left hilar lymph nodes. Anemia changes, slight arteriosclerosis in some arteries.

  3. Small cyst in the left kidney.

  4. Chronic inflammatory changes in the gastric antrum; please confirm with endoscopy.

  5. Degenerative changes in the spine, L5/S1 disc bulge. T3 vertebral hemangioma.

  6. No obvious abnormalities were found on cranial scintigraphy. Chronic inflammation of the left maxillary sinus. Reactive hyperplasia of bilateral cervical lymph nodes.

This case is from PETWB-REP, a curated dataset of whole-body 18F-FDG PET/CT scans and corresponding radiology reports from 490 patients with a broad spectrum of malignancies. The data were retrospectively collected from patients who underwent clinically indicated whole-body 18F-FDG PET/CT scans at the Shanghai Universal Medical Imaging Diagnostic Center between 2021 and 2024.

License: Creative Commons Attribution 4.0 International (CC BY 4.0)

Citation:
Xue, L., Feng, G., Wenbo, Z., Zhang, Y., Li, L., Wang, S., Peng, L., Peng, S., & Gao, X. (2026). PETWB-REP: A Multi-Cancer Whole-Body FDG PET/CT Dataset with Corresponding Radiology Reports [Data set]. Zenodo. https://doi.org/10.5281/zenodo.18670487

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